| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $178.47 | $239.17 | $404.29 | |
Medica
| Facility | $56.00 | $154.26 | $385.50 | |
Medica
| Professional | $66.16 | $607.94 | $801.06 | |
Midlands
| Facility | $47.71 | $99.07 | $243.10 | |
Midlands
| Professional | $53.00 | $66.16 | $243.10 | |
Oscar Health
| Facility | $1,135.34 | $1,135.34 | $1,135.34 | |
Oscar Health
| Professional | $97.59 | $175.72 | $239.30 |